Communication, Information, and Education on Self-Awareness about Marriage Age Maturation among Adolescent Girls

Noer Saudah(1), Indah Lestari(2), Heni Frilasari(3), Chasiru Zainal Abidin(4), Yudisa Diaz Lutfi Sandi(5), Henri Setiawan(6), Esti Andarini(7),


(1) School of Nursing, Institute of Health Science Bina Sehat PPNI, Mojokerto, Indonesia
(2) School of Nursing, Institute of Health Science Bina Sehat PPNI, Mojokerto, Indonesia
(3) Departement of Midwifery, Institute of Health Science Bina Sehat PPNI, Mojokerto, Indonesia
(4) Sekolah Tinggi Agama Islam Majmaal Bahroin, Mojokerto, Indonesia
(5) Department of Nursing, Akademi Keperawatan Pemerintah Kabupaten Ngawi School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan
(6) STIKes Muhammadiyah Ciamis, West Java, Indonesia
(7) Southern Medical University Guangzhou, China

Abstract

Indonesia has the highest rate of early marriage in the world, according to a UNICEF study, placing 15th out of 63 countries. Child marriage will make it much harder for Indonesia to obtain a high human development index and meet sustainable development goals. To determine whether Communication, Information, and Education (CIE) regarding maturing age at marriage through the Interprofessional Education (IPE) approach affected the students' self-awareness. An experimental study with one group pre-test and post-test design was conducted on 121 participants. They were selected using random sampling from 16-30th August 2021 in Hidayatul Mubtadiat Islamic boarding school, Puri sub-district, Mojokerto district, East Java province, Indonesia. The intervention group attended a workshop led by a religious leader, psychologist, and maternity nursing lecturer, completed by a follow-up program. The data was collected using the self-awareness questionnaire modified from the Situational Self-Awareness Scale (SSAS). IBM SPSS (v.28) was used to analyze the data, including statistical tests such as descriptive statistics and a paired t-test for comparing the mean scores. A 5% level of significance was considered. After interventions, there was a significant self-awareness score improvement (p-value 0.000 and T value = -15.9). The participants had self-awareness in the good category of 60.3 %. Up from 17.4 % before the intervention with a change in mean + standard deviation (SD) pre-post 57.8 + 7.2 to 66.2 + 7.0. Meanwhile, the number of participants who had less self-awareness before the intervention (42.1%) decreased to 5% after the intervention. The study's findings verified the effectiveness of the CIE strategy to enhance self-awareness among adolescent girls using the IPE method. The supply of CIE on the maturity of marriage age with an interprofessional education approach is the proper step to raise adolescents' self-awareness in the right decision-making process. So that they can avoid early marriage deliberately and independently. 

Keywords

Adolescent; Education; Marriage; Interprofessional education; Self-awareness

Full Text:

PDF

References

Ashcroft, R., McMillan, C., Ambrose-Miller, W., McKee, R., & Brown, J.B., 2018. The Emerging Role of Social Work in Primary Health Care: A Survey of Social Workers in Ontario Family Health Teams. Health and Social Work, 43(2).

BPS., 2020. Prevention of Child Marriage Acceleration that Cannot Wait, pp.71.

Djamilah, D., & Kartikawati, R., 2014. Dampak Perkawinan Anak di Indonesia. Jurnal Studi Pemuda, 3(1), pp.1–16.

Earland, J., Gilchrist, M., Mcfarland, L., & Harrison, K., 2011. Dietetics Students’ Perceptions and Experiences of Interprofessional Education. Journal of Human Nutrition and Dietetics, 24(2).

Engelhardt, M.A., 2017. Hitching Healthcare to the Chain: An Introduction to Blockchain Technology in the Healthcare Sector. Technology Innovation Management Review, 7(10).

Faul, F., Erdfelder, E., Lang, A.G., & Buchner, A., 2007. G*Power 3: A Flexible Statistical Power Analysis Program for the Social, Behavioral, and Biomedical Sciences. Behavior Research Methods, 39(2).

Fragkiadaki, S., Kontaxopoulou, D., Beratis, I.N., Andronas, N., Economou, A., Yannis, G., Papanicolaou, A., & Papageorgiou, S.G., 2016. Self-awareness of Cognitive Efficiency: Differences between Healthy Elderly and Patients with Mild Cognitive Impairment (MCI). Journal of Clinical and Experimental Neuropsychology, 38(10), pp.1144–1157.

Gastón, C.M., Misunas, C., & Cappa, C., 2019. Child Marriage among Boys: A Global Overview of Available Data. Vulnerable Children and Youth Studies, 14(3), pp.219–228.

Govern, J.M., & Marsch, L.A., 2001. Development and Validation of the Situational Self-awareness Scale. Consciousness and Cognition, 10(3).

Grijns, M., & Horii, H., 2018. Child Marriage in a Village in West Java (Indonesia): Compromises between Legal Obligations and Religious Concerns. Asian Journal of Law and Society, 5(2), pp.453–466.

Hardiani, H., & Junaidi, J., 2018. Determinants of Early Marriage and Model of Maturing Marriage Age Policy: A Case in Jambi Province, Indonesia. Innovative Issues and Approaches in Social Sciences, 11(1), pp.73–92.

Illingworth, P., & Chelvanayagam, S., 2017. The Benefits of Interprofessional Education 10 Years on. British Journal of Nursing, 26(14), pp.813–818.

Inayati, I.N., 2015. Perkawinan Anak Di Bawah Umur Dalam Perspektif Hukum, Ham Dan Kesehatan. Jurnal Bidan, 1(1), pp.46–53.

Kalamar, A.M., Lee-Rife, S., & Hindin, M.J., 2016. Interventions to Prevent Child Marriage among Young People in Low-and Middle-income Countries: A Systematic Review of the Published and Gray Literature. Journal of Adolescent Health, 59(3), pp.S16–S21.

Kelly, P.L., Heyman, J.C., Tice-Brown, D., & White-Ryan, L., 2020. Interprofessional Practice: Social Work Students’ Perspectives on Collaboration. Social Work in Health Care, 59(2).

Ketcherside, M., Rhodes, D., Powelson, S., Cox, C., & Parker, J., 2017. Translating Interprofessional Theory to Interprofessional Practice. Journal of Professional Nursing, 33(5), pp.370–377.

Lapkin, S., Levett-Jones, T., & Gilligan, C., 2013. A Systematic Review of the Effectiveness of Interprofessional Education in Health Professional Programs. Nurse Education Today, 33(2), pp.90–102.

Lasode, A.O., & Awote, M.F., 2014. Challenges Faced by Married University Undergraduate Female Students in Ogun State, Nigeria. Procedia-Social and Behavioral Sciences, 112, pp.102–113.

MacDonald, M.B., Bally, J.M., Ferguson, L.M., Lee Murray, B., Fowler-Kerry, S.E., & Anonson, J.M.S., 2010. Knowledge of the Professional Role of Others: A Key Interprofessional Competency. Nurse Education in Practice, 10(4).

Marliania, R., Sakinahb, A.M., & Royanulloha, R., 2018. Effects of Genre Program on Youth Knowledge, Attitude, and Behaviors about Pup and Triad KRR. MOJPC: Malaysia Online Journal of Psychology & Counselling, 5(1), pp.11–34.

Marphatia, A.A., Ambale, G.S., & Reid, A.M., 2017. Women’s Marriage Age Matters for Public Health: A Review of the Broader Health and Social Implications in South Asia. Frontiers in Public Health, 5, pp.269.

Marphatia, A.A., Saville, N.M., Amable, G.S., Manandhar, D.S., Cortina-Borja, M., Wells, J.C., & Reid, A.M., 2020. How Much Education is Needed to Delay Women’s Age at Marriage and First Pregnancy? Frontiers in Public Health, 7, pp.396.

Matziou, V., Vlahioti, E., Perdikaris, P., Matziou, T., Megapanou, E., & Petsios, K., 2014. Physician and Nursing Perceptions Concerning Interprofessional Communication and Collaboration. Journal of Interprofessional Care, 28(6), pp.526–533.

McMillan, M., Rhodes, J., Winder, P., Strathearn, M., & Anakin, M., 2021. Comparing Evaluation Responses of an Interprofessional Education Initiative with Students in Undergraduate Nursing and Medical Programmes. Nurse Education Today, 105023.

Muawwanah, M., 2019. Pendewasaan Usia Perkawinan Perspektif Maqasid Syariah. Masaqid, 7(2).

Müller, C.A., Fleischmann, N., Cavazzini, C., Heim, S., Seide, S., Geister, C., Tetzlaff, B., Hoell, A., Werle, J., & Weyerer, S., 2018. Interprofessional Collaboration in Nursing Homes (Interprof): Development and Piloting of Measures to Improve Interprofessional Collaboration and Communication: a Qualitative Multicentre Study. BMC Family Practice, 19(1), pp.1–11.

Nugraha, S.Y., Fatikhah, N., Wahyuni, S.T., & Saudah, N., 2019. Influence Of Social Support For Families Parenting Mother In Preventing Child Stunting. International Journal Of Nursing and Midwifery Science, 3(3).

Nur, R., Rusydi, M., Fajriah, R.N., Larasati, R.D., Hendra, S., & Ngemba, H.R., 2021. Effects of Family Planning and Baby Care Behavior on Stunting in Early Married Couples. Open Access Macedonian Journal of Medical Sciences, 9(E), pp.467–473.

Orbayinah, S., & Utami, L.P., 2015. Impact of Interprofessional Education on Collaboration Attitudes Among The Student of Medical Faculty and Health Sciences Universitas Muhammadiyah Yogyakarta. Journal of Health, Medicine, and Nursing, 17, pp.97–100.

Patoari, M.M.H., 2020. Causes and Effects of Child Marriage in Bangladesh: A Case Study at Halishahar, Chattogram, Bangladesh. Academic Journal of Interdisciplinary Studies, 9(2).

Peplau, H., 2021. Interpretive Summary: Examples of Broad Theoretic Frameworks Defining the Scope, Philosophy, and General Characteristics of Nursing. Knowledge Development in Nursing E-Book: Theory and Process, pp.228.

Pieterse, A.L., Lee, M., Ritmeester, A., & Collins, N.M., 2013. Towards a Model of Self-awareness Development for Counselling and Psychotherapy Training. Counselling Psychology Quarterly, 26(2), pp.190–207.

Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M., 2017. Interprofessional Collaboration to Improve Professional Practice and Healthcare Outcomes. Cochrane Database of Systematic Reviews, 2017(6).

Salvato, G., Richter, F., Sedeño, L., Bottini, G., & Paulesu, E., 2020. Building the Bodily Self‐awareness: Evidence for the Convergence between Interoceptive and Exteroceptive Information in a Multilevel Kernel Density Analysis Study. Human Brain Mapping, 41(2), pp.401–418.

Setiawan, H., Diaz, Y., Sandi, L., Andarini, E., Kurniawan, R., Richard, S.D., & Ariyanto, H., 2021. The Effect of Genetic Counseling on Depression, Anxiety, and Knowledge Level among Diabetes Mellitus Patients. Journal of Nursing and Social Sciences Related to Health and Illness, 20, pp.1–8.

Setiawan, H., Setiawan, D., & Mustopa, A.H., 2021. Development of Android-based Mobile Application “Cyber Gen” for Genetic Counselling Implementation among Thalassemia Patients. Journal of Physics: Conference Series, 2111(1), pp.12037.

Stover, J., & Winfrey, W., 2017. The Effects of Family Planning and Other Factors on Fertility, Abortion, Miscarriage, and Stillbirths in the Spectrum Model. BMC Public Health, 17(4), pp.43–50.

Utami, N.A.T., & Afwa, U., 2020. Peningkatan Program Pendewasaan Usia Perkawinan (PUP) melalui Pusat Informasi Konseling Remaja (PIK-R) di Kabupaten Purbalingga. Prosiding, 9(1).

Vago, D.R., 2014. Mapping Modalities of Self-awareness in Mindfulness Practice: A Potential Mechanism for Clarifying Habits of Mind. Ann NY Acad Sci, 1307, pp.28–42.

Van Diggele, C., Roberts, C., Burgess, A., & Mellis, C., 2020. Interprofessional Education: Tips for Design and Implementation. BMC Medical Education, 20.

Wafiq, A., & Santoso, F.S., 2017. Upaya Yuridis Dan Sosiologis Kantor Urusan Agama Dalam Pencegahan Pernikahan Usia Dini. Ulumuddin: Jurnal Ilmu-Ilmu Keislaman, 7(1), pp.17–30.

West, C., Graham, L., Palmer, R.T., Miller, M.F., Thayer, E.K., Stuber, M.L., Awdishu, L., Umoren, R.A., Wamsley, M.A., & Nelson, E.A., 2016. Implementation of Interprofessional Education (IPE) in 16 US Medical Schools: Common Practices, Barriers and Facilitators. Journal of Interprofessional Education & Practice, 4, pp.41–49.

WHO., 2010. Framework for Action on Interprofessional Education Collaborative Practice. Practice.

Wilonoyudho, S., & Agus Salim, L., 2020. Social Impacts of Child Marriage in Grobogan Regency, Central Java Province, Indonesia. Ijop.Net, 20(4).

Wilopo, S.A., Setyawan, A., Pinandari, A.W., Prihyugiarto, T., Juliaan, F., & Magnani, R.J., 2017. Levels, Trends and Correlates of Unmet Need for Family Planning Among Postpartum Women in Indonesia: 2007–2015. BMC Women’s Health, 17(1), pp.1–14.

Yulianti, I., Saudah, N., & Wahyuningrum, T., 2021. Maternal Characteristics as Predictors For Birth Of Low Birth Weight (LBW). Dissertasion. Universitas Airlangga.

Refbacks

  • There are currently no refbacks.




Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.